Loading…

Evaluation of dose calculation accuracy of various algorithms in lung equivalent inhomogeneity: Comparison of calculated data with Gafchromic film measured results

To evaluate dose calculation accuracy of various algorithms in lung equivalent inhomogeneity comprising tumor within it and comparison with Gafchromic film data. Gafchromic film measured central axis absorbed dose in lung insert (-700 Hounsfield unit [HU]), in racemosa wood cylindrical inhomogeneity...

Full description

Saved in:
Bibliographic Details
Published in:Journal of cancer research and therapeutics 2017-10, Vol.13 (6), p.1007-1014
Main Authors: Verma, Teerth Raj, Painuly, Nirmal K, Mishra, Surendra P, Singh, Navin, Bhatt, M L B, Jamal, Naseem, Pant, M C
Format: Article
Language:English
Subjects:
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c391t-bfd38df1b47e8dec5e84b8d453a561e0a879f6be11feac6cec34dc0e2523da543
cites
container_end_page 1014
container_issue 6
container_start_page 1007
container_title Journal of cancer research and therapeutics
container_volume 13
creator Verma, Teerth Raj
Painuly, Nirmal K
Mishra, Surendra P
Singh, Navin
Bhatt, M L B
Jamal, Naseem
Pant, M C
description To evaluate dose calculation accuracy of various algorithms in lung equivalent inhomogeneity comprising tumor within it and comparison with Gafchromic film data. Gafchromic film measured central axis absorbed dose in lung insert (-700 Hounsfield unit [HU]), in racemosa wood cylindrical inhomogeneity (-725 HU) and at three surfaces of tumor (-20 HU) created in cylindrical inhomogeneity, put in the cavity of computerized imaging reference systems (CIRS) thorax phantom were compared with convolution (CON), superposition (SP), fast SP (FSP), and X-ray voxel Monte Carlo (XVMC) algorithms calculated dose using 6 MV beams of field size 2 cm × 2 cm, 3 cm × 3 cm, 4 cm × 4 cm, 5 cm × 5 cm, and 8 cm × 8 cm. XVMC was in good agreement with film measured results for all selected field sizes except 3 cm × 3 cm. SP under estimated by 5.7% at the center of the lung insert while deviation up to 6% was found at the cent of wood inhomogeneity in 2 cm × 2 cm. Except CON, increase in dose from proximal to the central surface of the tumor and then dose falloff from central to the distal surface for field size 2 cm × 2 cm to 4 cm × 4 cm was recorded. The change in film measured percentage depth dose from 2 cm × 2 cm to 3 cm × 3 cm field sizes was found -8% however for consecutive field size(s) larger than 3 cm × 3 cm this difference was less. CON and FSP produced overestimated results. Out of four algorithms, XVMC found consistent with measured data. The electronic disequilibrium within and at the interface of inhomogeneity make the accurate dose predictions difficult. These limitations results in deviations from the expected results of the treatments.
doi_str_mv 10.4103/0973-1482.168992
format article
fullrecord <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1977209254</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A519529434</galeid><sourcerecordid>A519529434</sourcerecordid><originalsourceid>FETCH-LOGICAL-c391t-bfd38df1b47e8dec5e84b8d453a561e0a879f6be11feac6cec34dc0e2523da543</originalsourceid><addsrcrecordid>eNptkkFvFCEUx4nR2G317smQePEy6wDDDHhrNrWaNPGi5wkDb3ZpGNjC0GY_j19UpttqNBsOJO_9-OXxB4TekXrdkJp9qmXHKtIIuiatkJK-QCsipagawsRLtPrTPkPnKd3WNe8oFa_RGZWUdbLtVujX1b1yWc02eBxGbEICrJXT2R1rSusclT4szXsVbcgJK7cN0c67KWHrsct-i-Eu2yICP5fSLkxhCx7sfPiMN2Hal3Pp6H9Wg8FGzQo_FA2-VqPexTBZjUfrJjyBSjkWJELKbk5v0KtRuQRvn_YL9PPL1Y_N1-rm-_W3zeVNpZkkczWMhgkzkqHpQBjQHEQzCNNwpnhLoFaik2M7ACEjKN1q0KwxugbKKTOKN-wCfTx69zHcZUhzP9mkwTnlody7J7LraC3pI_rhP_Q25OjLdAsleFdeg_-ltiWa3voxzCXLRdpfciI5lQ1bXNUJagkwKhc8lEzgX359gi_LQInw5IH3T8PmYQLT76OdVDz0z7-A_QZnCrbu</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1978578995</pqid></control><display><type>article</type><title>Evaluation of dose calculation accuracy of various algorithms in lung equivalent inhomogeneity: Comparison of calculated data with Gafchromic film measured results</title><source>Publicly Available Content Database</source><source>IngentaConnect Journals</source><creator>Verma, Teerth Raj ; Painuly, Nirmal K ; Mishra, Surendra P ; Singh, Navin ; Bhatt, M L B ; Jamal, Naseem ; Pant, M C</creator><creatorcontrib>Verma, Teerth Raj ; Painuly, Nirmal K ; Mishra, Surendra P ; Singh, Navin ; Bhatt, M L B ; Jamal, Naseem ; Pant, M C</creatorcontrib><description>To evaluate dose calculation accuracy of various algorithms in lung equivalent inhomogeneity comprising tumor within it and comparison with Gafchromic film data. Gafchromic film measured central axis absorbed dose in lung insert (-700 Hounsfield unit [HU]), in racemosa wood cylindrical inhomogeneity (-725 HU) and at three surfaces of tumor (-20 HU) created in cylindrical inhomogeneity, put in the cavity of computerized imaging reference systems (CIRS) thorax phantom were compared with convolution (CON), superposition (SP), fast SP (FSP), and X-ray voxel Monte Carlo (XVMC) algorithms calculated dose using 6 MV beams of field size 2 cm × 2 cm, 3 cm × 3 cm, 4 cm × 4 cm, 5 cm × 5 cm, and 8 cm × 8 cm. XVMC was in good agreement with film measured results for all selected field sizes except 3 cm × 3 cm. SP under estimated by 5.7% at the center of the lung insert while deviation up to 6% was found at the cent of wood inhomogeneity in 2 cm × 2 cm. Except CON, increase in dose from proximal to the central surface of the tumor and then dose falloff from central to the distal surface for field size 2 cm × 2 cm to 4 cm × 4 cm was recorded. The change in film measured percentage depth dose from 2 cm × 2 cm to 3 cm × 3 cm field sizes was found -8% however for consecutive field size(s) larger than 3 cm × 3 cm this difference was less. CON and FSP produced overestimated results. Out of four algorithms, XVMC found consistent with measured data. The electronic disequilibrium within and at the interface of inhomogeneity make the accurate dose predictions difficult. These limitations results in deviations from the expected results of the treatments.</description><identifier>ISSN: 0973-1482</identifier><identifier>EISSN: 1998-4138</identifier><identifier>DOI: 10.4103/0973-1482.168992</identifier><identifier>PMID: 29237967</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>Accuracy ; Algorithms ; Calibration ; Cancer therapies ; Care and treatment ; Charged particles ; Computational biology ; Dose-response relationship ; Dosimetry ; Evaluation ; Fourier transforms ; Humans ; Lung - diagnostic imaging ; Lung - pathology ; Lung cancer ; Lung Neoplasms - pathology ; Lung Neoplasms - radiotherapy ; Methods ; Monte Carlo Method ; Phantoms, Imaging ; Planning ; Radiation therapy ; Radiometry - methods ; Radiotherapy ; Radiotherapy Dosage ; Radiotherapy Planning, Computer-Assisted - methods ; Specialty products ; Studies ; Thorax</subject><ispartof>Journal of cancer research and therapeutics, 2017-10, Vol.13 (6), p.1007-1014</ispartof><rights>COPYRIGHT 2017 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright Medknow Publications &amp; Media Pvt. Ltd. Oct/Dec 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-bfd38df1b47e8dec5e84b8d453a561e0a879f6be11feac6cec34dc0e2523da543</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1978578995?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>315,786,790,25783,27957,27958,37047,37048,44625</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29237967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Verma, Teerth Raj</creatorcontrib><creatorcontrib>Painuly, Nirmal K</creatorcontrib><creatorcontrib>Mishra, Surendra P</creatorcontrib><creatorcontrib>Singh, Navin</creatorcontrib><creatorcontrib>Bhatt, M L B</creatorcontrib><creatorcontrib>Jamal, Naseem</creatorcontrib><creatorcontrib>Pant, M C</creatorcontrib><title>Evaluation of dose calculation accuracy of various algorithms in lung equivalent inhomogeneity: Comparison of calculated data with Gafchromic film measured results</title><title>Journal of cancer research and therapeutics</title><addtitle>J Cancer Res Ther</addtitle><description>To evaluate dose calculation accuracy of various algorithms in lung equivalent inhomogeneity comprising tumor within it and comparison with Gafchromic film data. Gafchromic film measured central axis absorbed dose in lung insert (-700 Hounsfield unit [HU]), in racemosa wood cylindrical inhomogeneity (-725 HU) and at three surfaces of tumor (-20 HU) created in cylindrical inhomogeneity, put in the cavity of computerized imaging reference systems (CIRS) thorax phantom were compared with convolution (CON), superposition (SP), fast SP (FSP), and X-ray voxel Monte Carlo (XVMC) algorithms calculated dose using 6 MV beams of field size 2 cm × 2 cm, 3 cm × 3 cm, 4 cm × 4 cm, 5 cm × 5 cm, and 8 cm × 8 cm. XVMC was in good agreement with film measured results for all selected field sizes except 3 cm × 3 cm. SP under estimated by 5.7% at the center of the lung insert while deviation up to 6% was found at the cent of wood inhomogeneity in 2 cm × 2 cm. Except CON, increase in dose from proximal to the central surface of the tumor and then dose falloff from central to the distal surface for field size 2 cm × 2 cm to 4 cm × 4 cm was recorded. The change in film measured percentage depth dose from 2 cm × 2 cm to 3 cm × 3 cm field sizes was found -8% however for consecutive field size(s) larger than 3 cm × 3 cm this difference was less. CON and FSP produced overestimated results. Out of four algorithms, XVMC found consistent with measured data. The electronic disequilibrium within and at the interface of inhomogeneity make the accurate dose predictions difficult. These limitations results in deviations from the expected results of the treatments.</description><subject>Accuracy</subject><subject>Algorithms</subject><subject>Calibration</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Charged particles</subject><subject>Computational biology</subject><subject>Dose-response relationship</subject><subject>Dosimetry</subject><subject>Evaluation</subject><subject>Fourier transforms</subject><subject>Humans</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - pathology</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - radiotherapy</subject><subject>Methods</subject><subject>Monte Carlo Method</subject><subject>Phantoms, Imaging</subject><subject>Planning</subject><subject>Radiation therapy</subject><subject>Radiometry - methods</subject><subject>Radiotherapy</subject><subject>Radiotherapy Dosage</subject><subject>Radiotherapy Planning, Computer-Assisted - methods</subject><subject>Specialty products</subject><subject>Studies</subject><subject>Thorax</subject><issn>0973-1482</issn><issn>1998-4138</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNptkkFvFCEUx4nR2G317smQePEy6wDDDHhrNrWaNPGi5wkDb3ZpGNjC0GY_j19UpttqNBsOJO_9-OXxB4TekXrdkJp9qmXHKtIIuiatkJK-QCsipagawsRLtPrTPkPnKd3WNe8oFa_RGZWUdbLtVujX1b1yWc02eBxGbEICrJXT2R1rSusclT4szXsVbcgJK7cN0c67KWHrsct-i-Eu2yICP5fSLkxhCx7sfPiMN2Hal3Pp6H9Wg8FGzQo_FA2-VqPexTBZjUfrJjyBSjkWJELKbk5v0KtRuQRvn_YL9PPL1Y_N1-rm-_W3zeVNpZkkczWMhgkzkqHpQBjQHEQzCNNwpnhLoFaik2M7ACEjKN1q0KwxugbKKTOKN-wCfTx69zHcZUhzP9mkwTnlody7J7LraC3pI_rhP_Q25OjLdAsleFdeg_-ltiWa3voxzCXLRdpfciI5lQ1bXNUJagkwKhc8lEzgX359gi_LQInw5IH3T8PmYQLT76OdVDz0z7-A_QZnCrbu</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Verma, Teerth Raj</creator><creator>Painuly, Nirmal K</creator><creator>Mishra, Surendra P</creator><creator>Singh, Navin</creator><creator>Bhatt, M L B</creator><creator>Jamal, Naseem</creator><creator>Pant, M C</creator><general>Medknow Publications and Media Pvt. Ltd</general><general>Medknow Publications &amp; Media Pvt. Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201710</creationdate><title>Evaluation of dose calculation accuracy of various algorithms in lung equivalent inhomogeneity: Comparison of calculated data with Gafchromic film measured results</title><author>Verma, Teerth Raj ; Painuly, Nirmal K ; Mishra, Surendra P ; Singh, Navin ; Bhatt, M L B ; Jamal, Naseem ; Pant, M C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-bfd38df1b47e8dec5e84b8d453a561e0a879f6be11feac6cec34dc0e2523da543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Accuracy</topic><topic>Algorithms</topic><topic>Calibration</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Charged particles</topic><topic>Computational biology</topic><topic>Dose-response relationship</topic><topic>Dosimetry</topic><topic>Evaluation</topic><topic>Fourier transforms</topic><topic>Humans</topic><topic>Lung - diagnostic imaging</topic><topic>Lung - pathology</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - radiotherapy</topic><topic>Methods</topic><topic>Monte Carlo Method</topic><topic>Phantoms, Imaging</topic><topic>Planning</topic><topic>Radiation therapy</topic><topic>Radiometry - methods</topic><topic>Radiotherapy</topic><topic>Radiotherapy Dosage</topic><topic>Radiotherapy Planning, Computer-Assisted - methods</topic><topic>Specialty products</topic><topic>Studies</topic><topic>Thorax</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Verma, Teerth Raj</creatorcontrib><creatorcontrib>Painuly, Nirmal K</creatorcontrib><creatorcontrib>Mishra, Surendra P</creatorcontrib><creatorcontrib>Singh, Navin</creatorcontrib><creatorcontrib>Bhatt, M L B</creatorcontrib><creatorcontrib>Jamal, Naseem</creatorcontrib><creatorcontrib>Pant, M C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cancer research and therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Verma, Teerth Raj</au><au>Painuly, Nirmal K</au><au>Mishra, Surendra P</au><au>Singh, Navin</au><au>Bhatt, M L B</au><au>Jamal, Naseem</au><au>Pant, M C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of dose calculation accuracy of various algorithms in lung equivalent inhomogeneity: Comparison of calculated data with Gafchromic film measured results</atitle><jtitle>Journal of cancer research and therapeutics</jtitle><addtitle>J Cancer Res Ther</addtitle><date>2017-10</date><risdate>2017</risdate><volume>13</volume><issue>6</issue><spage>1007</spage><epage>1014</epage><pages>1007-1014</pages><issn>0973-1482</issn><eissn>1998-4138</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>To evaluate dose calculation accuracy of various algorithms in lung equivalent inhomogeneity comprising tumor within it and comparison with Gafchromic film data. Gafchromic film measured central axis absorbed dose in lung insert (-700 Hounsfield unit [HU]), in racemosa wood cylindrical inhomogeneity (-725 HU) and at three surfaces of tumor (-20 HU) created in cylindrical inhomogeneity, put in the cavity of computerized imaging reference systems (CIRS) thorax phantom were compared with convolution (CON), superposition (SP), fast SP (FSP), and X-ray voxel Monte Carlo (XVMC) algorithms calculated dose using 6 MV beams of field size 2 cm × 2 cm, 3 cm × 3 cm, 4 cm × 4 cm, 5 cm × 5 cm, and 8 cm × 8 cm. XVMC was in good agreement with film measured results for all selected field sizes except 3 cm × 3 cm. SP under estimated by 5.7% at the center of the lung insert while deviation up to 6% was found at the cent of wood inhomogeneity in 2 cm × 2 cm. Except CON, increase in dose from proximal to the central surface of the tumor and then dose falloff from central to the distal surface for field size 2 cm × 2 cm to 4 cm × 4 cm was recorded. The change in film measured percentage depth dose from 2 cm × 2 cm to 3 cm × 3 cm field sizes was found -8% however for consecutive field size(s) larger than 3 cm × 3 cm this difference was less. CON and FSP produced overestimated results. Out of four algorithms, XVMC found consistent with measured data. The electronic disequilibrium within and at the interface of inhomogeneity make the accurate dose predictions difficult. These limitations results in deviations from the expected results of the treatments.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>29237967</pmid><doi>10.4103/0973-1482.168992</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0973-1482
ispartof Journal of cancer research and therapeutics, 2017-10, Vol.13 (6), p.1007-1014
issn 0973-1482
1998-4138
language eng
recordid cdi_proquest_miscellaneous_1977209254
source Publicly Available Content Database; IngentaConnect Journals
subjects Accuracy
Algorithms
Calibration
Cancer therapies
Care and treatment
Charged particles
Computational biology
Dose-response relationship
Dosimetry
Evaluation
Fourier transforms
Humans
Lung - diagnostic imaging
Lung - pathology
Lung cancer
Lung Neoplasms - pathology
Lung Neoplasms - radiotherapy
Methods
Monte Carlo Method
Phantoms, Imaging
Planning
Radiation therapy
Radiometry - methods
Radiotherapy
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted - methods
Specialty products
Studies
Thorax
title Evaluation of dose calculation accuracy of various algorithms in lung equivalent inhomogeneity: Comparison of calculated data with Gafchromic film measured results
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-21T17%3A17%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evaluation%20of%20dose%20calculation%20accuracy%20of%20various%20algorithms%20in%20lung%20equivalent%20inhomogeneity:%20Comparison%20of%20calculated%20data%20with%20Gafchromic%20film%20measured%20results&rft.jtitle=Journal%20of%20cancer%20research%20and%20therapeutics&rft.au=Verma,%20Teerth%20Raj&rft.date=2017-10&rft.volume=13&rft.issue=6&rft.spage=1007&rft.epage=1014&rft.pages=1007-1014&rft.issn=0973-1482&rft.eissn=1998-4138&rft_id=info:doi/10.4103/0973-1482.168992&rft_dat=%3Cgale_proqu%3EA519529434%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c391t-bfd38df1b47e8dec5e84b8d453a561e0a879f6be11feac6cec34dc0e2523da543%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1978578995&rft_id=info:pmid/29237967&rft_galeid=A519529434&rfr_iscdi=true